Person who experienced the adverse event (patient)
Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127682831 | 12768283 | 1 | I | 20091101 | 20110330 | 20160921 | 20160921 | EXP | US-ASTRAZENECA-2016SF00168 | ASTRAZENECA | 9.40 | MON | M | Y | 0.00000 | 20160921 | MD | DE | DE |
Drug(s) used by person
Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127682831 | 12768283 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
127682831 | 12768283 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 120 | MG | INJECTION | /month | |||||||
127682831 | 12768283 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 130 MG | 0 | INJECTION | |||||||||
127682831 | 12768283 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 130 | MG | INJECTION | /month | |||||||
127682831 | 12768283 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 130 MG | 0 | INJECTION |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127682831 | 12768283 | 1 | Antiviral prophylaxis |
127682831 | 12768283 | 2 | Antiviral prophylaxis |
127682831 | 12768283 | 3 | Antiviral prophylaxis |
127682831 | 12768283 | 4 | Antiviral prophylaxis |
127682831 | 12768283 | 5 | Antiviral prophylaxis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127682831 | 12768283 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127682831 | 12768283 | Bronchitis |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
127682831 | 12768283 | 1 | 20091020 | 20091020 | 0 | |
127682831 | 12768283 | 2 | 20091117 | 20091217 | 0 | |
127682831 | 12768283 | 3 | 20100114 | 20100114 | 0 | |
127682831 | 12768283 | 4 | 20100211 | 20100311 | 0 | |
127682831 | 12768283 | 5 | 20100422 | 20100422 | 0 |